GORDANA POTREBIC PSY.D.
NPI 1699960666
Psychologist in Sebastopol, CA

NPI Status: Active since September 12, 2007

Contact Information

120 PLEASANT HILL AVE N
SUITE 340
SEBASTOPOL, CA
ZIP 95472
Phone: (707) 478-5689

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  • Individual
  • Female
  • Psychologist
  • PECOS Enrolled

About GORDANA POTREBIC

This page provides the complete NPI Profile along with additional information for Gordana Potrebic, a provider established in Sebastopol, California with a medical specialization in Psychologist. The healthcare provider is registered in the NPI registry with number 1699960666 assigned on September 2007. The practitioner's primary taxonomy code is 103T00000X with license number PSY27343 (CA). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1699960666
Provider Name
GORDANA POTREBIC PSY.D.
Gender
Female
Entity Type
Individual
Location Address
120 PLEASANT HILL AVE N SUITE 340 SEBASTOPOL, CA 95472
Location Phone
(707) 478-5689
Mailing Address
120 PLEASANT HILL AVE N SUITE 340 SEBASTOPOL, CA 95472
Mailing Phone
(707) 478-5689
Is Sole Proprietor?
Yes
Enumeration Date
09-12-2007
Last Update Date
04-10-2024
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A psychologist like Gordana Potrebic studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist

Taxonomy Code
103T00000X
Type
Behavioral Health & Social Service Providers
License No.
PSY27343
License State
CA
Taxonomy Description
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Medicare Participation & PECOS Enrollment Status

Gordana Potrebic is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1699960666
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261891860612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 8 + 9 + 1 + 8 + 6 + 0 + 6 + 1 + 2 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1699960666 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1801923396DR. LAURA JEAN HAVSTAD PH.D.
Individual
Psychologist (Cognitive & Behavioral)120 PLEASANT HILL AVE N 370
SEBASTOPOL, CA 95472
(707) 823-1848
1457440844 GUY R GULLION M. D.
Individual
Psychiatry & Neurology (Psychiatry)120 PLEASANT HILL AVE N SUITE 340
SEBASTOPOL, CA 95472
(707) 329-6943

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699960666, enumerated in the NPI registry as an "individual" on September 12, 2007

The provider is located at 120 Pleasant Hill Ave N Suite 340 Sebastopol, Ca 95472 and the phone number is (707) 478-5689

The provider's speciality is Psychologist with taxonomy code 103T00000X

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

This NPI record was last updated on September 12, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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